| NPI | 1861778300 |
|---|---|
| Doing Business As | JONES SCHOOL BASED HEALTH CENTER DENTAL |
| Entity Type | Organization |
| Authorized Contact | KATHY GRISHAM Executive Director 479-751-4717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |